Backup Documents 06/11/2024 Item #16B 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 B 4
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3 County Attorney Office County Attorney Office
5A/44 6//i/ZLI
4. BCC Office Board of County
Commissioners "T 4is/ 6111174
5. Minutes and Records Clerk of Court's Office / �1 �
rJ
Send via email to:
Danielle.Bates@colliercountyfl.gov
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees
above,may need to contact staff for additional or missing information.
Name of Primary Staff Danielle Bates,Grants Coordinator I/ Phone Number 239-252-2661
Contact/ Department TMSD
Agenda Date Item was 6/11/24 Agenda Item Number 16.B.4
Approved by the BCC
Type of Document Supplemental LAP Agreement and Number of Original 2
Attached Resolution S t -'t Documents Attached
PO number or account N/A
number if document is c t
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? DB
2. Does the document need to be sent to another agency for additional signatures? If yes, DB
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
Danielle Bates will send to FDOT after all other signatures received
3. Original document has been signed/initialed for legal sufficiency. (All documents to be DB
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the DB
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's NLA-
signature and initials are required. 1//
7. In most cases(some contracts are an exception),the original document and this routing slip DB
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 4111124 and all changes made N/A is not
during the meeting have been incorporated in the attached document. The County �(L an option for
Attorney's Office has reviewed the changes,if applicable. �Jl this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the an option for
Chairman's signature. this line.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
I6B4
RESOLUTION NO. 2024 - 99
A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS,
COLLIER COUNTY, FLORIDA, APPROVING AND AUTHORIZING ITS
CHAIRMAN TO EXECUTE A LOCAL AGENCY PROGRAM
SUPPLEMENTAL AGREEMENT WITH THE STATE OF FLORIDA
DEPARTMENT OF TRANSPORTATION TO DECREASE GRANT
FUNDING TO CONSTRUCT A TEN-FOOT MULTI-USE PATH ON
COUNTY BARN ROAD FROM RATTLESNAKE HAMMOCK ROAD TO
SR 84 (DAVIS BLVD). (FPN 438091-2-58-01)
WHEREAS, on May 23, 2023, the Board approved a Local Agency Program (LAP)
Agreement (the "Agreement") with the State of Florida Department of Transportation (FDOT),
entered into and executed on August 29, 2023, wherein FDOT will reimburse Collier County up
to the sum of to $1,693,376 to construct a ten-foot multi-use path on County Barn Road from
Rattlesnake Hammock Road to SR 84 (Davis Blvd.). (FPN 438091-2-58-01); and
WHEREAS, on November 17, 2023, the Board approved a Supplemental Agreement to
increase the reimbursement to $2,508,376 (Contract No. G2N19); and
WHEREAS, Construction Engineering and Inspection is a required phase of the LAP
process; and
WHEREAS, Collier County has requested that FDOT transfer $125,024 of construction
funding to phase 62, construction engineering inspection (CEI); and
WHEREAS,FDOT has agreed to decrease construction funding in FY 24 funds to transfer
the funding to CEI funds; and
WHEREAS, the new adjusted construction funding is $2,383,352; and
WHEREAS, the Collier County Board of Commissioners finds that the Agreement is in
the public interest and benefits the citizens of Collier County.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that:
1. The Board of County Commissioners approves and authorizes its Chairman to sign the
Supplemental Agreement pertaining to FPN 438091-2-58-01 (Contract No. G2N19).
2. The Collier County Clerk is directed to forward a certified copy of this Resolution along
with the Supplemental Agreement for execution by FDOT.
adoption.
3. This Resolution shall take effect immediatelyupon
THIS RESOLUTION ADOPTED after motion, second, and majority vote favoring
same, this 11 th day of June 2024.
Page 1 of 1
• 1684
''' .AT"I ST: BOARD OF COUNTY COMMISSIONERS
'' .,CRYSTAL K. KINZEL, Clerk OF COLLIEI C. UNTY, FLORIDA
13ycilloyiNktc),..9_.___ By:
sig.ature ,puty Clerk Chri, all, Chairman
Approve1 as 1)0111 .nd legality:
b.—
Jeffrey A.! latzk i , County Attorney
Page I of l
DocuSign Envelope ID:6E5F0B73-E408-4FE3-A3C9-68D64471F2A1 16 B 4
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525-010-32
SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMEN/22
T
Page 1 of 2
SUPPLEMENTAL NO. FEDERAL ID NO. (FAIN)
2 D123-060-B
CONTRACT NO. FEDERAL AWARD DATE
G2N19
FPN RECIPIENT UNIQUE ENTITY ID SAM NO.
438091-2-58-01 JWKJKYRPLLU6
Recipient, Collier County , desires to supplement
the original Agreement entered into and executed on August 29, 2023 as identified above. All
provisions in the original Agreement and supplements, if any, remain in effect except as expressly modified by this
supplement.
The changes to the Agreement and supplements, if any, are described as follows:
PROJECT DESCRIPTION
Name County Barn Road from Rattlesnake Hammock to SR 84 (Davis Blvd) Length 2.045
Termini The construction of a 10 foot multi-use path on the west side of County Barn Road from Rattlesnake Hammock to
SR 84(Davis Blvd)
Description of Work:
The project consists of the construction of a 10-foot-wide multi-use path on the west side of County Barn Road from
Rattlesnake Hammock to SR 84 (Davis Blvd). Replacement of existing storm drain culvert, ditch bottom inlets, and
mitered end sections will be installed to accommodate the 10-foot-wide multi-use path.
Reason for Supplement and supporting engineering and/or cost analysis:
The purpose of this Supplemental Agreement#2 is to decrease construction funding in Fiscal Year 24 funds in the
amount of$125,024.00(One Hundred Twenty-Five Thousand Twenty-Four Dollars)to transfer construction funding to
phase 62 construction engineering inspection. The new adjusted construction funding is$2,383,352.00 ($Two Million
Three Hundred Eighty-Three Thousand Three Hundred Fifty-Two Dollars) as shown in the attached Exhibit"B" adjusted
"SCHEDULE OF FINANCIAL ASSISTANCE".
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DocuSign Envelope ID:6E5F0B73-E408-4FE3-A3C9-68D64471F2A1 6 (](7 L�),
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525-010-32
SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMENT
08/19
Page 3 of 3
IN WITNESS WHEREOF, the parties have executed this Agreement on the date last ascribed herein.
RECIPIENT Collier County STATE OF FLORIDA
DEPARTMENT OF TRANSPORTATION
64161
By: By:
Name:
Chris Hall, Chairman Title:
Date:
Legal Review: Da
ro&
ATTEST:
DRY TAL i< KII�17-L, CLERfitSc,
r-v t
Deputy Clerk
u Attest as to Cnalrman's
4'.'4 f� ,:,,,• ' signature only